Position Description:Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.If it sounds too good to be true, consider this: Through our family of businesses and a lot of inspired individuals, we're building a high-performance structure that works better for more people in more ways. Primary Responsibilities:Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) recordsSending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for correctionsReconciling reportsPerforming basic clerical functions with proficient PC skillsAnalytical and Researching techniques to trend or quantify projectsInitiate and assist with developments / changes to increase or change quality and productivityPreparing, processing, and maintaining new member or group enrollmentsResponding to member eligibility or group questions & verify enrollment statusWorking with various types of member correspondenceReconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changesInventory control of member and group transactionsModerate work experience within own functionSome work is completed without established proceduresBasic tasks are completed without review by othersSupervision/guidance is required for higher level tasks
Required Qualifications:High School Diploma / GED (or higher)1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job dutiesExperience editing and creating spreadsheets in Microsoft ExcelExperience creating and editing professional documents in Microsoft WordExperience creating and editing presentations and professional documents in Microsoft PowerPointAbility to work 8:00 am - 6:30 pm Monday through FridayPreferred Qualifications:Associate's Degree (or higher)1+ years of Call Center customer service experience1+ years of work experience with insurance1+ years of experience working with the chronically ill, elderly, disabled, and or frail populationBilingual strongly preferred in this order English, Spanish, Russian, Korean, Chinese, (Cantonese and / or Mandarin)Understanding of Medicaid and Medicare regulationsPhysical Requirements and Work Environment:Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computerService center environment with moderate noise level due to Representatives talking, computers, printers, and floor activityCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: Enrollment, claims, medical claims, healthcare claims, insurance claims, insurance contracts, office, UnitedHealth Group, training class, customer service representative, customer service, CSR, Data Entry, phone support
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.